Retirement Healthcare Plan
Complete this form in order to begin reimbursement, a Claims Activation Form must also be submitted to TIAA-CREF.
Complete this form to activate claim reimbursements for participants who have satisfied the eligibility provision of their employer’s retirement healthcare plan.
Retirement Healthcare Plan Claims Activation Form (PDF)
This form is a plan administrator authorization for a plan participant to begin reimbursement under special circumstances.
If you have questions or need help selecting the correct form, call us at 1 800 842-2776.